| NPI | 1033106745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID O1027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P8062) |
| 208M00000X Hospitalist (Licence: NC 200201615) | |
| 208M00000X Hospitalist (Licence: TX P8062) | |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2022-05-11 |