| NPI | 1508878471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD184927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T3463) |
| 207R00000X Internal Medicine (Licence: CA A79039) | |
| 208M00000X Hospitalist (Licence: TX T3463) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-08-08 |