| NPI | 1508367939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T4278) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01086535A) |
| 207R00000X Internal Medicine (Licence: TX T4278) | |
| 208M00000X Hospitalist (Licence: IN 01086535A) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2024-09-20 |