| NPI | 1417223850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 48669) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10034281) |
| 208M00000X Hospitalist (Licence: TN MD48669) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2022-03-29 |