| NPI | 1588626253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 9695909-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J9444) |
| 207R00000X Internal Medicine (Licence: UT 9695909-1205) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2021-12-20 |