| NPI | 1891291399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T5864) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T5864) |
| 208M00000X Hospitalist (Licence: TX T5864) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-05-15 |