| NPI | 1730334178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S5436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240724) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2022-09-13 |