| NPI | 1225458359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R5446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R5446) |
| 208M00000X Hospitalist (Licence: TX R5446) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2022-10-18 |