| NPI | 1598928400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5047) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 249419) |
| 208M00000X Hospitalist (Licence: NM MD2008-0678) | |
| 208M00000X Hospitalist (Licence: TX N5047) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-07-17 |