| NPI | 1326019555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K4920) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX K4920) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TX K4920) | |
| 207P00000X Emergency Medicine (Licence: TX K4920) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2012-04-27 |