| NPI | 1487947180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 56226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R0341) |
| 207R00000X Internal Medicine (Licence: AZ 56226) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2023-06-14 |