| NPI | 1447661764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S5487) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 56260) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2023-02-14 |