| NPI | 1508828641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M1551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 22429) |
| 207R00000X Internal Medicine (Licence: UT 13166411-1205) | |
| 208M00000X Hospitalist (Licence: TX M1551) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-04-20 |