| NPI | 1598024275 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 10385620-1205) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q4394) | 
| 208M00000X Hospitalist (Licence: TX Q4394) | |
| Enumeration Date | 2012-05-15 | 
| Last Update Date | 2017-10-03 |