| NPI | 1730298621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB06652600) |
| 208M00000X Hospitalist (Licence: TX P6885) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-10-10 |