| NPI | 1396983268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35095974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35095974) |
| 207R00000X Internal Medicine (Licence: TX N0351) | |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2021-03-18 |