| NPI | 1477789162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S1715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A105264) |
| 208M00000X Hospitalist (Licence: CA A105264) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2023-05-25 |