| NPI | 1285041285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S7745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291426) |
| 207R00000X Internal Medicine (Licence: IA MD44396) | |
| 207R00000X Internal Medicine (Licence: WI 75316) | |
| 208M00000X Hospitalist (Licence: NY 291426) | |
| 208M00000X Hospitalist (Licence: TX S7745) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2024-09-23 |