| NPI | 1710180666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01062851A) |
| 208M00000X Hospitalist (Licence: IN 01062851A) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2022-08-15 |