| NPI | 1336300516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S4261) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 28332) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2020-11-06 |