| NPI | 1316015415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX 26819) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 26819) |
| 207R00000X Internal Medicine (Licence: GA 066130) | |
| 208M00000X Hospitalist (Licence: GA 066130) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-03-14 |