| NPI | 1073968152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S1968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056209) |
| 208M00000X Hospitalist (Licence: TX S1968) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-04-07 |