| NPI | 1265927081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2021025574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U7687) |
| 208M00000X Hospitalist (Licence: TX U7687) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-06-21 |