| NPI | 1194191544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U0280) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036146367) |
| 208M00000X Hospitalist (Licence: TX U0280) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-09-20 |