| NPI | 1518140839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q2448) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10025519) |
| 207R00000X Internal Medicine (Licence: TX Q2448) | |
| 207R00000X Internal Medicine (Licence: NM MD2009-0048) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2024-03-01 |