| NPI | 1366679763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P5081) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX p5081) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2013-12-20 |