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 |