| NPI | 1144412099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S2185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S2185) |
| 208M00000X Hospitalist (Licence: MN 52633) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2022-10-18 |