| NPI | 1255919742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 14224321-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 14224321-1205) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-07-03 |