| NPI | 1700105236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 29881) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 29881) |
| 207R00000X Internal Medicine (Licence: TX 550206) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2018-03-01 |