| NPI | 1275880734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2015030837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q5878) |
| 208M00000X Hospitalist (Licence: TX Q5878) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2024-06-17 |