| NPI | 1891727129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P1568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1568) |
| 207R00000X Internal Medicine (Licence: NM MD2011-0243) | |
| 207R00000X Internal Medicine (Licence: AZ 37325) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-01-19 |