| NPI | 1366778540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P2937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056161) |
| 208M00000X Hospitalist (Licence: TX P2937) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2024-02-20 |