| NPI | 1043518665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0430) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101249508) |
| 207R00000X Internal Medicine (Licence: CA A116283) | |
| 207R00000X Internal Medicine (Licence: NM MD2011-0091) | |
| Enumeration Date | 2011-03-06 |
| Last Update Date | 2021-12-20 |