| NPI | 1366066136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U3534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11881) |
| 207R00000X Internal Medicine (Licence: TX U3534) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2023-09-22 |