| NPI | 1104053958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 9683348-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 9683348-1204) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2021-09-30 |