| NPI | 1770938029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S0645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056221) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2021-04-22 |