| NPI | 1205936937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N8451) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 223090) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2015-07-28 |