| NPI | 1043405814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-47402) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 064649) |
| 207R00000X Internal Medicine (Licence: IA MD-47402) | |
| 207R00000X Internal Medicine (Licence: GA 064649) | |
| 207R00000X Internal Medicine (Licence: TX P3732) | |
| 207R00000X Internal Medicine (Licence: UT 10511724-1205) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2024-04-17 |