| NPI | 1760688311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35144219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 201503) |
| 207R00000X Internal Medicine (Licence: LA MD.201503) | |
| 207R00000X Internal Medicine (Licence: TX Q4621) | |
| 208M00000X Hospitalist (Licence: TX Q4621) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2022-02-03 |