| NPI | 1013234996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 30087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q1879) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2023-06-03 |