| NPI | 1427442334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD467124) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T9218) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: PA MD467124) | |
| 207R00000X Internal Medicine (Licence: PA MD467124) | |
| 207R00000X Internal Medicine (Licence: TX T9218) | |
| 208M00000X Hospitalist (Licence: TX T9218) | |
| 208M00000X Hospitalist (Licence: PA MD467124) | |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2024-01-31 |