| NPI | 1851388441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R8052) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS12133) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2019-02-08 |