| NPI | 1871714949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 51633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.117204) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX T0903) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 104109) | |
| 208M00000X Hospitalist (Licence: TX T0903) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX T0903) | |
| 208M00000X Hospitalist (Licence: MN 51633) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-11-10 |