| NPI | 1215372552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60754835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q9018) |
| 208M00000X Hospitalist (Licence: WA MD60754835) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2021-11-06 |