NPI | 1255416905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX P4290) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P4290) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO 44019) | |
208M00000X Hospitalist (Licence: TX p4290) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2024-05-15 |