| NPI | 1558654244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T4039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:059293) |
| 208M00000X Hospitalist (Licence: IL 036135426) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2022-06-14 |