| NPI | 1801066733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N1313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2500083359) |
| 207R00000X Internal Medicine (Licence: IN 01065209A) | |
| 207R00000X Internal Medicine (Licence: TX N1313) | |
| 208M00000X Hospitalist (Licence: MO 2500083359) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2024-12-13 |