| NPI | 1396829552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N8910) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2003-00336) |
| 208M00000X Hospitalist (Licence: NC 200300336) | |
| 208M00000X Hospitalist (Licence: TX N8910) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-05-20 |