| NPI | 1982977781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R1444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014025258) |
| 208M00000X Hospitalist (Licence: MO 2014025258) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2022-07-21 |