| NPI | 1194953851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2009016618) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX N8334) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2023-02-24 |