| NPI | 1003205683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q4013) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 2932) |
| 207R00000X Internal Medicine (Licence: WI 2932) | |
| 207R00000X Internal Medicine (Licence: OK 38201) | |
| 207R00000X Internal Medicine (Licence: WA 61436735) | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2024-03-20 |