| NPI | 1831572221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 58673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10054834) |
| 207R00000X Internal Medicine (Licence: AZ 58673) | |
| 207R00000X Internal Medicine (Licence: TX R7068) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2023-12-13 |