| NPI | 1194033548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V3753) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: TX V3753) |
| 207R00000X Internal Medicine (Licence: OH 35.133856) | |
| 208M00000X Hospitalist (Licence: PA MD443129) | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2025-05-01 |