| NPI | 1891721700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX M1944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M1944) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M1944) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-06-02 |