| NPI | 1053506949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 061524) |
| 208M00000X Hospitalist (Licence: GA 061524) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2020-04-21 |