| NPI | 1467898916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R3695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R3695) |
| 207R00000X Internal Medicine (Licence: TX BP10046666) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R3695) | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2022-11-10 |