| NPI | 1487605259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2010024532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K4518) |
| 207R00000X Internal Medicine (Licence: MO 2010024532) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-03-17 |