| NPI | 1861491359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2017-0152) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX K5618) |
| 207R00000X Internal Medicine (Licence: TX K5618) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2017-10-16 |