| NPI | 1689602112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L7613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229821) |
| 208M00000X Hospitalist (Licence: TX L7613) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-08-14 |