| 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 |