NPI | 1164883807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R1235) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX R1235) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2021-10-11 |