| NPI | 1760821714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2018000532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q8891) |
| 207R00000X Internal Medicine (Licence: MO 2018000532) | |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2021-03-18 |