| NPI | 1578795209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N3865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N3865) |
| 207R00000X Internal Medicine (Licence: IL 036122471) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2024-09-19 |