| NPI | 1366063406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX V1826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R78053) |
| 207R00000X Internal Medicine (Licence: TX V1826) | |
| 208M00000X Hospitalist (Licence: TX V1826) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-09-10 |