NPI | 1679574941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 246229) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P6775) |
208M00000X Hospitalist (Licence: TX p6775) | |
Enumeration Date | 2005-08-09 |
Last Update Date | 2018-01-08 |