| NPI | 1992004642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q4280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09601100) |
| 208M00000X Hospitalist (Licence: TX Q4280) | |
| 207R00000X Internal Medicine (Licence: NY 276756) | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2021-02-26 |