| NPI | 1326591876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T5487) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX T5487) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-08-03 |