| NPI | 1407301898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T1734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 79233) |
| 207R00000X Internal Medicine (Licence: NY 311235) | |
| 207R00000X Internal Medicine (Licence: FL ME151984) | |
| 207R00000X Internal Medicine (Licence: NM MD2022-1134) | |
| 207R00000X Internal Medicine (Licence: TX T1734) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2026-02-12 |