| NPI | 1093946394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R1339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 31214) |
| 207R00000X Internal Medicine (Licence: TX R1339) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2020-09-04 |