| NPI | 1639464936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 067824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N9599) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2018-03-07 |