| NPI | 1952561078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q0235) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD445334) |
| 207R00000X Internal Medicine (Licence: TX Q0235) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2019-01-02 |