| NPI | 1447481395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R0851) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301093739) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2019-09-13 |