| NPI | 1285254565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U4330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U4330) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2023-08-04 |