| NPI | 1518283761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P9533) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.120119) |
| 208000000X Pediatrics (Licence: TX P9533) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2021-04-30 |