| NPI | 1083039911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8837) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P8837) |
| 208M00000X Hospitalist (Licence: LA 309150) | |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2019-01-16 |