| NPI | 1578096541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 334953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S7379) |
| 208M00000X Hospitalist (Licence: TX S7379) | |
| 208M00000X Hospitalist (Licence: ME DO3447) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-05-06 |