| NPI | 1467862367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R2638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049992) |
| 208M00000X Hospitalist (Licence: TX R2638) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2021-11-29 |