| NPI | 1528223344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P7608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2011-00887) |
| 208M00000X Hospitalist (Licence: TX P7608) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2021-02-08 |