| NPI | 1649545583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S2084) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275575) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S2084) | |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2023-07-05 |