| 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 |