| NPI | 1891940367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX n1671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N1671) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2022-10-20 |