| NPI | 1003916511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J8337) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX J8337) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-10-24 |