| NPI | 1649596974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101257901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0723) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101257901) | |
| 208M00000X Hospitalist (Licence: VA 0101257901) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2022-10-14 |