| NPI | 1831326743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2012-01338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P2595) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2013-07-16 |