| NPI | 1275583973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200100397) |
| 208M00000X Hospitalist (Licence: NC 200100397) | |
| 208M00000X Hospitalist (Licence: TX P9385) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-04-04 |