| NPI | 1295721793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX M1919) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M1919) |
| 208M00000X Hospitalist (Licence: OK 24681) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2023-12-21 |