| NPI | 1518313782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T9253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A154425) |
| 208M00000X Hospitalist (Licence: CA A154425) | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2022-08-11 |