| NPI | 1114309176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 303120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 303120) |
| 207R00000X Internal Medicine (Licence: TX Q8314) | |
| 207R00000X Internal Medicine (Licence: PA MD463210) | |
| 208M00000X Hospitalist (Licence: MO 2017029103) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2025-08-12 |