NPI | 1669797940 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T1694) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 24105) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX T1694) | |
208M00000X Hospitalist (Licence: MS 24105) | |
Enumeration Date | 2010-03-30 |
Last Update Date | 2024-09-16 |