NPI | 1104258979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5067) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.128983) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2025-10-09 |