| NPI | 1790093797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 70361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U0036) |
| 207R00000X Internal Medicine (Licence: OH 35.128444) | |
| 207R00000X Internal Medicine (Licence: AZ 70361) | |
| 208M00000X Hospitalist (Licence: TX U0036) | |
| 208M00000X Hospitalist (Licence: OH 35.128444) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2024-10-03 |