| NPI | 1386107803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T5969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T5969) |
| 207R00000X Internal Medicine (Licence: TX BP10066684) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-07-10 |