| NPI | 1295832020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N6952) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N6952) |
| 207R00000X Internal Medicine (Licence: NY 240149) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-09-19 |