| NPI | 1972815421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 8583743-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11015721A) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2017-04-28 |