| NPI | 1508845744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R1693) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX R1693) |
| 207R00000X Internal Medicine (Licence: LA MD.12914R) | |
| 207R00000X Internal Medicine (Licence: TX R1693) | |
| 208M00000X Hospitalist (Licence: LA MD.12914R) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2024-09-12 |