| NPI | 1457586885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q1074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q1074) |
| 208M00000X Hospitalist (Licence: UT 328239-1205) | |
| 208M00000X Hospitalist (Licence: OK 29467) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2024-04-22 |