| NPI | 1760430276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K0425) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K0425) |
| 208M00000X Hospitalist (Licence: TX K0425) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-11-15 |