| NPI | 1679756977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S4082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53929) |
| 207R00000X Internal Medicine (Licence: TX S4082) | |
| 208M00000X Hospitalist (Licence: WI 53929) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2021-12-07 |