| NPI | 1770895252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R1922) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 50434) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2023-07-24 |