| NPI | 1801864905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N0897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N0897) |
| 208M00000X Hospitalist (Licence: TX N0897) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-04-12 |