| NPI | 1497271860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX u3528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 305530) |
| 208M00000X Hospitalist (Licence: NY 305530) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2023-07-25 |