| NPI | 1417417072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U3979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO3115) |
| 208M00000X Hospitalist (Licence: TX U3979) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-09-19 |