| NPI | 1700144201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q8370) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX q8370) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2018-03-17 |