| NPI | 1861652471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX 1240880) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 12198) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-08-11 |