| NPI | 1205853736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N0759) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N0759) |
| 207P00000X Emergency Medicine (Licence: TX N0759) | |
| 208M00000X Hospitalist (Licence: NM 98-257) | |
| 208M00000X Hospitalist (Licence: ME MD26047) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-08-01 |