| NPI | 1558643593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX U3514) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.207028) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2023-08-16 |