| NPI | 1033437215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 8683328-1205) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 8683328-1205) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 076350) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2022-01-28 |