| NPI | 1538327580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T46554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255836) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 255836) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-10-05 |