| NPI | 1316332281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 29316) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX U0972) |
| 207R00000X Internal Medicine (Licence: AL MD.35664) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-07-09 |