| NPI | 1194905877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N4885) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY MMIS 00243903) |
| 207R00000X Internal Medicine (Licence: GA 001815) | |
| 207R00000X Internal Medicine (Licence: AL MD.29720) | |
| 208M00000X Hospitalist (Licence: AL MD.29720) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2023-03-28 |