| NPI | 1740693449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T2098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017021747) |
| 207R00000X Internal Medicine (Licence: LA 324854) | |
| 207R00000X Internal Medicine (Licence: IL 036153754) | |
| 208M00000X Hospitalist (Licence: IL 036153754) | |
| 208M00000X Hospitalist (Licence: MO 2017021747) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2023-04-14 |