| NPI | 1982023420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R3466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R3466) |
| 207R00000X Internal Medicine (Licence: IL 036134872) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R3466) | |
| 208M00000X Hospitalist (Licence: IL 036134872) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2018-08-15 |