| NPI | 1700182581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS 11743) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N8435) |
| 207R00000X Internal Medicine (Licence: TX N8435) | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2012-09-10 |