| NPI | 1497730097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M0845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01058488A) |
| 207R00000X Internal Medicine (Licence: NY 234371) | |
| 208M00000X Hospitalist (Licence: NY 234371) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2025-03-31 |