| NPI | 1316101165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 532645) |
| 208M00000X Hospitalist (Licence: TX N9660) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2023-07-10 |