| NPI | 1780846873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C138825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q3710) |
| 207R00000X Internal Medicine (Licence: PA MD434718) | |
| 208M00000X Hospitalist (Licence: PA MD434718) | |
| 208M00000X Hospitalist (Licence: TX Q3710) | |
| 208M00000X Hospitalist (Licence: VA 0101283479) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2024-08-22 |