NPI | 1164875902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U1019) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 86507) |
208M00000X Hospitalist (Licence: MD D0091283) | |
208M00000X Hospitalist (Licence: CO DR.0062854) | |
Enumeration Date | 2016-07-18 |
Last Update Date | 2025-08-01 |