| NPI | 1619122017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 323638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q0676) |
| 207P00000X Emergency Medicine (Licence: TX Q0676) | |
| 207R00000X Internal Medicine (Licence: NY 258437) | |
| 208M00000X Hospitalist (Licence: TX Q0676) | |
| 208M00000X Hospitalist (Licence: NY 258437) | |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2021-11-09 |