| NPI | 1609458637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V0570) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX V0570) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2026-06-08 |