| NPI | 1538454459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q8583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q8583) |
| 207R00000X Internal Medicine (Licence: NY 274104) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-09-19 |