| NPI | 1801152467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 29106) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S3600) |
| 208M00000X Hospitalist (Licence: TX S3600) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2021-07-08 |