| NPI | 1174788178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 68252) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P5317) |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2021-04-09 |