| NPI | 1356542617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M8863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10018362) |
| 208M00000X Hospitalist (Licence: TX M8863) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-02-21 |