| NPI | 1932366135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9540) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX M9540) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2012-11-15 |