| NPI | 1003832551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 4984780-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 49847801205) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2017-05-22 |