| NPI | 1144519687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T7701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09539800) |
| 207R00000X Internal Medicine (Licence: TX T7701) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2024-07-16 |