| NPI | 1831114123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 12777047-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9701460) |
| 207R00000X Internal Medicine (Licence: UT 12777047-1205) | |
| 208M00000X Hospitalist (Licence: NC 9701460) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-08-12 |