| NPI | 1730404922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 9006325-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 9006325-1205) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 9006325-1205) | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2022-02-14 |