| NPI | 1154339380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K6530) |
| Additional Taxonomies | 173000000X Legal Medicine |
| 208M00000X Hospitalist (Licence: TX K6530) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-03-11 |