| NPI | 1760435747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 38165) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K2529) |
| 208M00000X Hospitalist (Licence: WI 38165) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-10-16 |