NPI | 1285952077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6558) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P6558) |
Enumeration Date | 2010-05-04 |
Last Update Date | 2017-10-17 |