| NPI | 1821187659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME108746) |
| 208M00000X Hospitalist (Licence: LA 343545) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-12-27 |