| NPI | 1154370765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 6049611-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 60496111205) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-04-19 |