| NPI | 1194041582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME114375) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME114375) |
| 207R00000X Internal Medicine (Licence: TX P5269) | |
| 208M00000X Hospitalist (Licence: TX P5269) | |
| Enumeration Date | 2010-04-11 |
| Last Update Date | 2023-05-03 |