| NPI | 1801097357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 17312) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX N3872) |
| 207R00000X Internal Medicine (Licence: IN 02003396A) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2015-11-05 |