| NPI | 1285122861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 328317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 56515) |
| 208M00000X Hospitalist (Licence: TX U2028) | |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2025-04-22 |