| NPI | 1851332415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M5458) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35063998R) |
| 208M00000X Hospitalist (Licence: TX M5458) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-03 |