| NPI | 1235442393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T1480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 60952) |
| 207R00000X Internal Medicine (Licence: PA MT197390) | |
| 208M00000X Hospitalist (Licence: IN 01076877A) | |
| 208M00000X Hospitalist (Licence: WI 60952) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2021-11-23 |