| NPI | 1376753087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N3364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 202139) |
| 207R00000X Internal Medicine (Licence: TX N3364) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-09-24 |