| NPI | 1740615236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S3352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3578) |
| 207R00000X Internal Medicine (Licence: ND 14220) | |
| 207R00000X Internal Medicine (Licence: MN 70545) | |
| 208M00000X Hospitalist (Licence: TX s3352) | |
| 208M00000X Hospitalist (Licence: ND 14220) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2022-03-01 |