| NPI | 1043606700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 10100563-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A156981) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2024-12-18 |