| NPI | 1124381058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T5861) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-137866) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2023-03-14 |