| NPI | 1053745703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U6284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME127335) |
| 208M00000X Hospitalist (Licence: FL ME127335) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2024-02-09 |