| NPI | 1184039612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U2147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2017-0233) |
| 208M00000X Hospitalist (Licence: TX U2147) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2023-10-31 |