| 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 |