| NPI | 1942456165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C132773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N0667) |
| 208M00000X Hospitalist (Licence: CA C132773) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2020-04-13 |