| NPI | 1326335787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R3414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036135640) |
| 208M00000X Hospitalist (Licence: IL 036.135640) | |
| 208M00000X Hospitalist (Licence: TX R3414) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2021-10-12 |