| NPI | 1427067511 |
|---|---|
| Other Name | NONE NONE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 7169289-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A79767) |
| 207R00000X Internal Medicine (Licence: UT 7162989-1205) | |
| 208M00000X Hospitalist (Licence: NV 18275) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-11-19 |