NPI | 1043731961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S4467) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S4467) |
207R00000X Internal Medicine (Licence: NM A-2365-20) | |
207R00000X Internal Medicine (Licence: PA OT018003) | |
Enumeration Date | 2017-06-30 |
Last Update Date | 2024-09-16 |