| NPI | 1861712895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.204672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N5865) |
| 207R00000X Internal Medicine (Licence: LA MD.204672) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2021-09-09 |