| NPI | 1871818708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T4640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T4640) |
| 208M00000X Hospitalist (Licence: HI MD-17043) | |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2022-10-18 |