| NPI | 1073784484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P3304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME101125) |
| 208M00000X Hospitalist (Licence: OK 30627) | |
| 208M00000X Hospitalist (Licence: TX P3304) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2021-01-11 |