| NPI | 1891700779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5730) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301082541) |
| 207R00000X Internal Medicine (Licence: MI 4301082541) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-07-08 |