| NPI | 1851701692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A172852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 309988) |
| 207R00000X Internal Medicine (Licence: TX R0780) | |
| 208M00000X Hospitalist (Licence: CA A172852) | |
| 208M00000X Hospitalist (Licence: NY 309988) | |
| 208M00000X Hospitalist (Licence: TX R0780) | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2022-01-20 |