| NPI | 1538353149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 28082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7972) |
| 207R00000X Internal Medicine (Licence: OK 28082) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2019-03-18 |