| NPI | 1831322957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P9558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0074125) |
| 207R00000X Internal Medicine (Licence: AZ 46639) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2022-05-17 |