| NPI | 1528168788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M3733) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 47567) |
| 208M00000X Hospitalist (Licence: TX M3733) | |
| 208M00000X Hospitalist (Licence: CO 47567) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-02-04 |