| NPI | 1992148076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.140224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S5637) |
| 207R00000X Internal Medicine (Licence: OK 41517) | |
| 208M00000X Hospitalist (Licence: IL 036140224) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2023-06-06 |