| NPI | 1851605216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S8836) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 51205) |
| 207R00000X Internal Medicine (Licence: TX S8836) | |
| 207R00000X Internal Medicine (Licence: CT 51205) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2024-07-22 |