| NPI | 1376861906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q2690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.41383) |
| 208M00000X Hospitalist (Licence: OK 28982) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2021-06-15 |