| NPI | 1134307499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 6825178-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6825178-1205) |
| 208000000X Pediatrics (Licence: UT 6825178-1205) | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2017-06-21 |