| NPI | 1750736575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S0413) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S0413) |
| 207R00000X Internal Medicine (Licence: TX S0413) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2022-08-26 |