NPI | 1073006375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S9053) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY TL6832) |
207R00000X Internal Medicine (Licence: WY 14038A) | |
207R00000X Internal Medicine (Licence: TX S9053) | |
207R00000X Internal Medicine (Licence: CA 20A23057) | |
Enumeration Date | 2018-06-11 |
Last Update Date | 2025-06-12 |