| NPI | 1457884082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T0602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T0602) |
| 207R00000X Internal Medicine (Licence: IA DO-05602) | |
| 208M00000X Hospitalist (Licence: IA DO-05602) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-09-19 |