| NPI | 1669559241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 105794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 105794) |
| 207R00000X Internal Medicine (Licence: TX Q9758) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-03-28 |