| NPI | 1982792842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: TX N2590) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX N2590) |
| 207R00000X Internal Medicine (Licence: KS 04-31899) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-10-08 |