| NPI | 1538273008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 153469) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX J3298) |
| 208M00000X Hospitalist (Licence: TX J3298) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-05-30 |