| NPI | 1679927024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R9680) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX R9680) |
| 207R00000X Internal Medicine (Licence: FL TRN22738) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-02-23 |