| NPI | 1629175377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L3094) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX L0394) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-10-24 |