| NPI | 1174788178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P5317) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 68252) |
| 208M00000X Hospitalist (Licence: TX P5317) | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2024-09-05 |