| NPI | 1730446816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R5396) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A135710) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2023-04-28 |