| NPI | 1164748810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q3802) |
| 208M00000X Hospitalist (Licence: IN 01072902A) | |
| 207P00000X Emergency Medicine (Licence: TX Q3802) | |
| 208M00000X Hospitalist (Licence: IN Q3802) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-08-06 |