| NPI | 1730507443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T0297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036142895) |
| 208M00000X Hospitalist (Licence: IL 036142895) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2023-02-27 |