| NPI | 1871931790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T6036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS 14193) |
| 207R00000X Internal Medicine (Licence: PA OT015524) | |
| 208M00000X Hospitalist (Licence: TX T60369) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2022-09-26 |