| NPI | 1801258025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S6524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 312290) |
| 207R00000X Internal Medicine (Licence: TX S6524) | |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2021-06-21 |