| NPI | 1992001903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q6153) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 272740) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2018-04-02 |