| NPI | 1871029777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 304439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 304439) |
| 207R00000X Internal Medicine (Licence: TX BP10060347) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-07-09 |