| NPI | 1881013100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S6987) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 271294) |
| 208M00000X Hospitalist (Licence: TX S6987) | |
| 207R00000X Internal Medicine (Licence: TX BP10049497) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-10-11 |