| NPI | 1801259510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S0109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 25457310) |
| 208M00000X Hospitalist (Licence: TX S0109) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-05-03 |