| NPI | 1235635962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S9601) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10063400) |
| 207R00000X Internal Medicine (Licence: TX S9601) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-09-15 |