| NPI | 1326305624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q4020) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX Q4020) |
| 208M00000X Hospitalist (Licence: TX Q4020) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2024-09-26 |