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 |