| NPI | 1114994621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q1399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 64486) |
| 207R00000X Internal Medicine (Licence: MS 27612) | |
| 208M00000X Hospitalist (Licence: TX Q1399) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2022-11-02 |