| NPI | 1043901986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX W6284) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX W6284) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2026-09-01 |