| NPI | 1801091939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 796706-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R8117) |
| 207R00000X Internal Medicine (Licence: UT 7967096-1205) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2017-07-26 |