| NPI | 1235335068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q0090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243861) |
| 207R00000X Internal Medicine (Licence: TX Q0090) | |
| 207R00000X Internal Medicine (Licence: WI 50288) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-01-26 |