| NPI | 1578726923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P8807) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD151262) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2014-08-19 |