| NPI | 1356634059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 5819906-1204) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 5819906-1204) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2020-11-17 |