| NPI | 1780832915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 7780730-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P20657) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2018-09-25 |