| NPI | 1417260811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U1020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018005489) |
| 207R00000X Internal Medicine (Licence: DE C1-0010506) | |
| 207R00000X Internal Medicine (Licence: OH 35-121780) | |
| 207R00000X Internal Medicine (Licence: FL ME119339) | |
| 208M00000X Hospitalist (Licence: TX U1020) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2023-10-04 |