| NPI | 1346281193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 289326) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L8211) |
| 207R00000X Internal Medicine (Licence: CT 67247) | |
| 208M00000X Hospitalist (Licence: MA 289326) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-03-06 |