| NPI | 1245674621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U7477) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U7477) |
| 207R00000X Internal Medicine (Licence: FL ME130872) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2024-06-04 |