| NPI | 1568569002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 49058681205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 49058681205) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2021-12-17 |