| NPI | 1437146370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P3014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P3014) |
| 207R00000X Internal Medicine (Licence: NM MD2007-0514) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-03-21 |