| NPI | 1699023200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S0020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2014-1009) |
| 208M00000X Hospitalist (Licence: NM MD2014-1009) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-07-30 |