| NPI | 1447638457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R5591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10052614) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2025-03-06 |