| NPI | 1831107101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N8904) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 17766) |
| 208M00000X Hospitalist (Licence: TX N8904) | |
| 208M00000X Hospitalist (Licence: IL 036161253) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-10-21 |