| NPI | 1841853595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T5376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10066735) |
| 207R00000X Internal Medicine (Licence: TX T5376) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2023-02-17 |