| NPI | 1265745335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P7452) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SD 12007) |
| 208M00000X Hospitalist (Licence: ID M15019) | |
| 208M00000X Hospitalist (Licence: WA MD60784814) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2024-04-10 |