| NPI | 1316941925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX K3389) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K3389) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2020-01-27 |