| NPI | 1396165627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S0793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S0793) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX S0793) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2023-05-01 |