NPI | 1316987779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9130) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0061959) |
208M00000X Hospitalist (Licence: MD D0061959) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-10-30 |