| NPI | 1992098719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301099441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q5611) |
| 208M00000X Hospitalist (Licence: MI 4301099441) | |
| 208M00000X Hospitalist (Licence: TX Q5611) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2022-01-27 |