| NPI | 1003823063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R7518) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 97-304) |
| 207R00000X Internal Medicine (Licence: FL ME110070) | |
| 208M00000X Hospitalist (Licence: TX R7518) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-08-07 |