| NPI | 1285863753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3419) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 19160) |
| 207R00000X Internal Medicine (Licence: OH 93466) | |
| 207R00000X Internal Medicine (Licence: IA 38410) | |
| 207R00000X Internal Medicine (Licence: GA 62878) | |
| 207R00000X Internal Medicine (Licence: IN 01066537A) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2025-09-05 |