| NPI | 1093747156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M2560) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX M2560) |
| 207R00000X Internal Medicine (Licence: TX M2560) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-06-22 |