| NPI | 1801174834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T7923) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49198) |
| 208M00000X Hospitalist (Licence: AZ 49198) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2023-03-31 |