| NPI | 1417059023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 166762-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 1667621205) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2010-09-21 |