| NPI | 1437388444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q4613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-196089) |
| 207R00000X Internal Medicine (Licence: TX Q4613) | |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2017-04-19 |