NPI | 1275951451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 10356676-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10356676-1205) |
208000000X Pediatrics (Licence: WI 65165-20) | |
Enumeration Date | 2014-04-03 |
Last Update Date | 2021-10-27 |