| NPI | 1144294711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N1401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301074999) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-07-17 |