| NPI | 1790945657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 85349) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 249009) |
| 207P00000X Emergency Medicine (Licence: TX Q0240) | |
| 207R00000X Internal Medicine (Licence: NY 249009) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q0240) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2021-12-08 |