| NPI | 1932458080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4392) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS12371) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2017-02-27 |