| NPI | 1568543221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX k3972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K3972) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2024-08-13 |