| NPI | 1619139060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6064) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 003114) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2015-01-22 |