| NPI | 1114960291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 52599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A60546) |
| 208M00000X Hospitalist (Licence: CA A60546) | |
| 207R00000X Internal Medicine (Licence: TX N4182) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-07-08 |