| NPI | 1083669501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 340829) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX M6335) |
| 207R00000X Internal Medicine (Licence: FL ME71265) | |
| 207R00000X Internal Medicine (Licence: LA 340829) | |
| 207R00000X Internal Medicine (Licence: TX M6335) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2025-01-27 |