| NPI | 1225189020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 10395899-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 13284C) |
| 207R00000X Internal Medicine (Licence: UT 10395899-1204) | |
| 207R00000X Internal Medicine (Licence: UT 7699102-1204) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-01-06 |