| NPI | 1801236807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME116810) |
| 208M00000X Hospitalist (Licence: FL ME116810) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2021-03-11 |