| NPI | 1528146024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N7100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92854) |
| 208M00000X Hospitalist (Licence: CA A92854) | |
| 207R00000X Internal Medicine (Licence: TX N7100) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-05-20 |