| NPI | 1194087791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX q4747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73372) |
| 207R00000X Internal Medicine (Licence: AZ 50886) | |
| 208M00000X Hospitalist (Licence: AZ 50886) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2022-12-18 |