| NPI | 1639242050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P5872) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P5872) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-10-11 |