| NPI | 1740516426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R2297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 004053) |
| 207R00000X Internal Medicine (Licence: TX R2297) | |
| 208M00000X Hospitalist (Licence: NY 004053) | |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2023-05-22 |