| NPI | 1164741716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R1208) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 48245) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2023-01-18 |