| NPI | 1932193687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L9762) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01072120A) |
| 207R00000X Internal Medicine (Licence: AR E2934) | |
| 207R00000X Internal Medicine (Licence: PA MD445904) | |
| 207R00000X Internal Medicine (Licence: WV 29405) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2025-03-28 |