| NPI | 1306057856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q2456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301089867) |
| 208M00000X Hospitalist (Licence: MI 4301089867) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2015-08-27 |