| NPI | 1467613901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q8096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192806) |
| 207R00000X Internal Medicine (Licence: IN 01068841A) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2018-03-17 |