| NPI | 1740506963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A152047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q6508) |
| 207R00000X Internal Medicine (Licence: CA A152047) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2022-06-16 |