| NPI | 1487034039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 42432) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY C0289) |
| 207R00000X Internal Medicine (Licence: TX T7104) | |
| 207R00000X Internal Medicine (Licence: TN 63578) | |
| 208M00000X Hospitalist (Licence: TX T7104) | |
| 208M00000X Hospitalist (Licence: IN 01090637A) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2024-06-28 |