| NPI | 1184818585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 62934) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX N4211) |
| 208000000X Pediatrics (Licence: TX N4211) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2022-10-13 |