| NPI | 1649641226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T4395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0012477) |
| 207R00000X Internal Medicine (Licence: NM MD2023-1343) | |
| 207R00000X Internal Medicine (Licence: IN 01087652A) | |
| 207R00000X Internal Medicine (Licence: TX T4395) | |
| 208M00000X Hospitalist (Licence: DE C1-0012477) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2024-08-12 |