| NPI | 1396307963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX V1425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS18654) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-08-21 |