| NPI | 1447499033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N6825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N6825) |
| 207R00000X Internal Medicine (Licence: TX not applicable-) | |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2022-11-29 |