| NPI | 1396222675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 14101587-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019030498) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-09-26 |