| NPI | 1962496307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R1567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT1768748) |
| 207R00000X Internal Medicine (Licence: NM MD20040599) | |
| 208M00000X Hospitalist (Licence: TX R1567) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2024-11-12 |