| NPI | 1134187636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 7838948-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 11243) |
| 208M00000X Hospitalist (Licence: NV 11243) | |
| 208M00000X Hospitalist (Licence: UT 7838948-1205) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-11-10 |