| NPI | 1770740839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P7871) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DC MD037568) |
| 207R00000X Internal Medicine (Licence: VA 0101244230) | |
| 207R00000X Internal Medicine (Licence: MD D0068108) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2015-03-03 |