NPI | 1316243868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P6942) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 262381) |
207R00000X Internal Medicine (Licence: TX P6942) | |
207R00000X Internal Medicine (Licence: OH 35.098914) | |
208M00000X Hospitalist (Licence: OH 35.098914) | |
Enumeration Date | 2011-02-01 |
Last Update Date | 2024-09-12 |