| NPI | 1649340977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 205961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 20502) |
| 207R00000X Internal Medicine (Licence: TX M7146) | |
| 208M00000X Hospitalist (Licence: LA 205961) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-06-01 |