| NPI | 1205092095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-43662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S4459) |
| 207R00000X Internal Medicine (Licence: IA MD-43662) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2022-03-30 |