| NPI | 1295776391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L4534) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX L4534) |
| 208M00000X Hospitalist (Licence: TX L4534) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-02-24 |