| NPI | 1083770770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S8238) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 276993) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2023-08-08 |