| NPI | 1093974503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9118) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P6320) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-04-30 |