| NPI | 1023115615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061799A) |
| 207R00000X Internal Medicine (Licence: WV 28234) | |
| 208M00000X Hospitalist (Licence: MN 60099) | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2024-04-24 |