| NPI | 1851563787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9045) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX M9045) |
| 207R00000X Internal Medicine (Licence: MN 61694) | |
| 208M00000X Hospitalist (Licence: MO 2016029312) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2024-09-06 |