| NPI | 1629631221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS19145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10067111) |
| 208M00000X Hospitalist (Licence: FL OS19145) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-10-01 |