| NPI | 1851320402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M3344) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301079242) |
| 208M00000X Hospitalist (Licence: TX M3344) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-10-24 |