| NPI | 1245232974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD 15810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G0127) |
| 208M00000X Hospitalist (Licence: TX G0127) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2011-06-27 |