| NPI | 1689877391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N3884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087970) |
| 207R00000X Internal Medicine (Licence: TX N3884) | |
| 208000000X Pediatrics (Licence: MI 4301087970) | |
| 208000000X Pediatrics (Licence: TX N3884) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-02-23 |