| NPI | 1073717476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M6827) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX M6827) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2014-02-27 |