| NPI | 1619439783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 11912795-1205) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 47239) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2024-02-01 |