| NPI | 1598761777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX L1217) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L1217) |
| 207R00000X Internal Medicine (Licence: TX L1217) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2023-04-11 |