| NPI | 1689023228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS14865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO5194) |
| 207R00000X Internal Medicine (Licence: TX T4571) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T4571) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T4571) | |
| 208M00000X Hospitalist (Licence: LA 336155) | |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2024-08-31 |