| NPI | 1023237260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A105162) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TN 67515) |
| 208M00000X Hospitalist (Licence: TX U1017) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-04-04 |