| NPI | 1548462278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 8897320-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50043) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-11-17 |