| NPI | 1235360223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.098806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T1363) |
| 208M00000X Hospitalist (Licence: TX T1363) | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2023-07-17 |