| NPI | 1831402882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P4319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4319) |
| 207R00000X Internal Medicine (Licence: TX BP10037960) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2024-07-19 |