| NPI | 1194167262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP10045904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01081600A) |
| 208M00000X Hospitalist (Licence: IN 01081600A) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2019-02-22 |