| NPI | 1366642415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 54842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N0335) |
| 208M00000X Hospitalist (Licence: TN 54842) | |
| 208M00000X Hospitalist (Licence: TX N0335) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2016-09-02 |