| NPI | 1053318857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX Q2389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q2389) |
| 207R00000X Internal Medicine (Licence: DE C1-0007984) | |
| 207R00000X Internal Medicine (Licence: LA 332862) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DE C10007984) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: LA 332862) | |
| 208M00000X Hospitalist (Licence: TX Q2389) | |
| 208M00000X Hospitalist (Licence: LA 332862) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2023-05-11 |