| NPI | 1871858985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S8497) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: HI MD-17738) |
| 207R00000X Internal Medicine (Licence: IL 036136117) | |
| 208M00000X Hospitalist (Licence: IL 036136117) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2023-12-04 |