| NPI | 1366929457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301116070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U1634) |
| 208M00000X Hospitalist (Licence: TX U1634) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2023-04-10 |