| NPI | 1922137140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 3083260-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 3083260-8905) |
| 207R00000X Internal Medicine (Licence: UT 3083260-1205) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-09-29 |