| NPI | 1528220118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10030837) |
| 208M00000X Hospitalist (Licence: TX T7633) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2023-05-24 |