| NPI | 1881121622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S7719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060874) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-09-19 |