| NPI | 1972731271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R8182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094599) |
| 208M00000X Hospitalist (Licence: MI 4301094599) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2018-09-11 |