| NPI | 1265418479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX L0969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L0969) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-01-27 |