| NPI | 1275532640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME165902) |
| 208M00000X Hospitalist (Licence: TX P8334) | |
| 208M00000X Hospitalist (Licence: KY 30624) | |
| 208M00000X Hospitalist (Licence: IN 01061516A) | |
| 208M00000X Hospitalist (Licence: IL 036169277) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2024-03-27 |