| NPI | 1801994462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301080664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M2828) |
| 208M00000X Hospitalist (Licence: TX M2828) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-11-27 |