| NPI | 1255381414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5132) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX N5132) |
| 207R00000X Internal Medicine (Licence: GA 051822) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX N5132) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-09-08 |