| NPI | 1760748867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A151921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q3104) |
| 207R00000X Internal Medicine (Licence: CA A151921) | |
| 208M00000X Hospitalist (Licence: TX Q3104) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2022-08-17 |