| NPI | 1063677441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N1299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01065266A) |
| 207R00000X Internal Medicine (Licence: TX N1299) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2010-08-11 |