| NPI | 1669912051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T1682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME142397) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2023-02-27 |