NPI | 1801858212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX L6268) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX L6268) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2017-01-26 |