| NPI | 1649257429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K3983) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX K3983) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2017-07-28 |