| NPI | 1023276870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 51285) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX N2058) |
| 207R00000X Internal Medicine (Licence: TX N2058) | |
| 207R00000X Internal Medicine (Licence: UT 7932447-1205) | |
| 207R00000X Internal Medicine (Licence: TN 51285) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 51285) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2017-02-01 |