NPI | 1013262492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MT MED-PHYS-LIC-44480) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-44480) |
207R00000X Internal Medicine (Licence: TX P8938) | |
Enumeration Date | 2012-07-20 |
Last Update Date | 2025-02-04 |