| NPI | 1629391354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S8917) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A110605) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2023-11-17 |