| NPI | 1841245883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H5535) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX H5535) |
| 207R00000X Internal Medicine (Licence: WY 14502A) | |
| 207R00000X Internal Medicine (Licence: GA 97208) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-12-29 |