| NPI | 1801867379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 104463) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K3854) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2024-04-08 |