| NPI | 1740847847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 92738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10068529) |
| 207R00000X Internal Medicine (Licence: GA 00000) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2023-03-05 |