| NPI | 1639582174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9236) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P9236) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2024-02-21 |