| NPI | 1609294586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R2222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 26546) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2024-05-03 |