| NPI | 1881693687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N1738) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N1738) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2024-02-26 |