| NPI | 1295928224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX M7816) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 24251) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2009-08-27 |