| NPI | 1417121989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0708) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NM MD2016-0074) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-07-21 |