| NPI | 1982915013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R5130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10053243) |
| 207R00000X Internal Medicine (Licence: TX R5130) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-02-04 |