| NPI | 1336113851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P7565) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2003015692) |
| 208M00000X Hospitalist (Licence: MO 2003015692) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036135951) | |
| 207R00000X Internal Medicine (Licence: IL 036135951) | |
| 207R00000X Internal Medicine (Licence: TX P7565) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2016-08-21 |