| NPI | 1396826962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX K9173) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K9173) |
| 208M00000X Hospitalist (Licence: TX K9173) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2024-10-11 |