NPI | 1023081833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX L0094) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX L0094) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2025-03-05 |