NPI | 1649474222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N2730) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX N2730) |
208D00000X General Practice (Licence: TX N2730) | |
208M00000X Hospitalist (Licence: TX N2730) | |
Enumeration Date | 2007-06-14 |
Last Update Date | 2016-07-06 |