| NPI | 1699111666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX q5577) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX q5577) |
| 208M00000X Hospitalist (Licence: TX q5577) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2017-09-12 |