| NPI | 1861752826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP10043181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60595326) |
| 208M00000X Hospitalist (Licence: WI 64116-20) | |
| 208M00000X Hospitalist (Licence: WA MD60595326) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-12-08 |