| NPI | 1518993997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR 13924) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OK 31260) |
| 207R00000X Internal Medicine (Licence: TX P6143) | |
| 208M00000X Hospitalist (Licence: GA 60351) | |
| 208M00000X Hospitalist (Licence: OK 31260) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-07-27 |