| NPI | 1629383211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q5003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270526) |
| 207R00000X Internal Medicine (Licence: TX Q5003) | |
| 208M00000X Hospitalist (Licence: NY 270526) | |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2021-11-15 |