| NPI | 1467897934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D88590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R0682) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2020-02-27 |