NPI | 1275065559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S5613) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212860) |
207R00000X Internal Medicine (Licence: TX S5613) | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2025-05-21 |