| NPI | 1659508380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P5863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241598) |
| 208M00000X Hospitalist (Licence: TX P5863) | |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2016-10-20 |