| NPI | 1932341526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P3061) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P3061) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2023-08-15 |