| NPI | 1972892867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R7778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS13050) |
| 207R00000X Internal Medicine (Licence: LA DO.000313) | |
| 208M00000X Hospitalist (Licence: LA DO.000313) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2018-09-10 |