| NPI | 1457783680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 9610049-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3658) |
| 207R00000X Internal Medicine (Licence: UT 9610049-1204) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2021-10-01 |