| NPI | 1376077172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S4831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76252) |
| 208M00000X Hospitalist (Licence: TX S4831) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2022-11-15 |