| NPI | 1700233970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5269) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R5269) |
| 207R00000X Internal Medicine (Licence: TX BP10055384) | |
| 208M00000X Hospitalist (Licence: TX R5269) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2023-02-06 |