| NPI | 1053372177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 6369024-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2005020847) |
| 207R00000X Internal Medicine (Licence: UT 6369024-1205) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2015-03-26 |