| NPI | 1508164096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R7664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 254829) |
| 207R00000X Internal Medicine (Licence: TX R7664) | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2024-02-27 |