| NPI | 1609296185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2022-00041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R3637) |
| 207R00000X Internal Medicine (Licence: NC 2022-00041) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2022-08-07 |