| NPI | 1609118827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U2021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME127822) |
| 207R00000X Internal Medicine (Licence: TX U2021) | |
| 208M00000X Hospitalist (Licence: FL ME127822) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-09-15 |