| NPI | 1336379775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U0286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 66344) |
| 207R00000X Internal Medicine (Licence: AR E-7494) | |
| 208M00000X Hospitalist (Licence: WI 66344) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2023-03-06 |