| NPI | 1396806535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 24089) |
| 208M00000X Hospitalist (Licence: TX M9483) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-11-10 |