| NPI | 1073788444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 072609) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 54852) |
| 208000000X Pediatrics (Licence: TX Q6674) | |
| 208M00000X Hospitalist (Licence: TX Q6674) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2024-06-20 |