NPI | 1740287663 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 6044) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: MO mo 2005018599) |
207R00000X Internal Medicine (Licence: TX R8434) | |
207R00000X Internal Medicine (Licence: NC 2014-00238) | |
208M00000X Hospitalist (Licence: TX R8434) | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2023-07-27 |