| NPI | 1629679295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX PA14395) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX PA14395) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2022-11-04 |