| NPI | 1528467552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S1427) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID MC-1489) |
| 208M00000X Hospitalist (Licence: TX S1427) | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2023-05-12 |