| NPI | 1831417518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.205924) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX Q8315) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2025-11-11 |