| NPI | 1679063903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 05947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 009719) |
| 207R00000X Internal Medicine (Licence: TX BP10063875) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TX BP10063875) | |
| 208M00000X Hospitalist (Licence: AZ 009719) | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2024-11-14 |