| NPI | 1912106154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX P3142) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX P3142) |
| 207R00000X Internal Medicine (Licence: TX P3142) | |
| 208M00000X Hospitalist (Licence: TX P3142) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2021-01-11 |