| NPI | 1578783627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX W3230) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 234447) |
| 208M00000X Hospitalist (Licence: MA 234447) | |
| 207R00000X Internal Medicine (Licence: MA 234447) | |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2026-01-21 |