| NPI | 1295182459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX 645704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036158124) |
| 208M00000X Hospitalist (Licence: IL 036158124) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2022-09-27 |