| NPI | 1851528475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P5857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P5857) |
| 207R00000X Internal Medicine (Licence: KY 44259) | |
| 207R00000X Internal Medicine (Licence: OH 57014298) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2024-09-19 |