| NPI | 1104083039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0801) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P0801) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2012-02-24 |