| NPI | 1467854992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U4625) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271552) |
| 207R00000X Internal Medicine (Licence: GA 92875) | |
| 208M00000X Hospitalist (Licence: GA 92875) | |
| 208M00000X Hospitalist (Licence: MA 271552) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2023-10-11 |