| NPI | 1487158713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U2664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U2664) |
| 207R00000X Internal Medicine (Licence: MA 287629) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-06-29 |