| NPI | 1396967980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 36748) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q6771) |
| 208M00000X Hospitalist (Licence: TX Q6771) | |
| 207P00000X Emergency Medicine (Licence: TX Q6771) | |
| 207P00000X Emergency Medicine (Licence: SC 36748) | |
| 207R00000X Internal Medicine (Licence: SC 36748) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-09-19 |