| NPI | 1275988131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S0611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S0611) |
| 207R00000X Internal Medicine (Licence: MI 430109879) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2022-04-28 |