| NPI | 1730170960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M4916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 024377) |
| 208M00000X Hospitalist (Licence: TX M4916) | |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2022-02-09 |