| NPI | 1548234750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 1821661205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 1821661205) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2015-07-30 |