| NPI | 1568486389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K4338) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX K4338) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-09-27 |