| NPI | 1588005276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S2210) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 29105) |
| 207R00000X Internal Medicine (Licence: LA 302226) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2023-11-29 |