| NPI | 1194709956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 9300195-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 8947) |
| 208M00000X Hospitalist (Licence: NM MD2018-0428) | |
| 208M00000X Hospitalist (Licence: NV 8947) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2018-08-20 |