| NPI | 1154569283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.206493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10026218) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2010-07-07 |