| NPI | 1841457223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N2593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092186) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2022-07-21 |