| NPI | 1588896922 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q9535) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME116294) | 
| 208M00000X Hospitalist (Licence: TX Q9535) | |
| 208M00000X Hospitalist (Licence: FL ME116294) | |
| 207R00000X Internal Medicine (Licence: CT 050943) | |
| Enumeration Date | 2009-08-19 | 
| Last Update Date | 2025-01-09 |