| NPI | 1881988020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q7904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 258946) |
| 208M00000X Hospitalist (Licence: MA 258946) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2020-04-01 |