| NPI | 1497731103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q7216) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 042676) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2016-06-13 |