| NPI | 1912173725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME147717) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0980) |
| 207R00000X Internal Medicine (Licence: IA MD-40387) | |
| 208M00000X Hospitalist (Licence: IA MD-40387) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2023-01-13 |