| NPI | 1649761800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U0612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX u0612) |
| 207R00000X Internal Medicine (Licence: NY 311522) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-09-17 |