| NPI | 1528452505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA DO-06311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R6897) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2024-02-12 |