NPI | 1861491359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2017-0152) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX K5618) |
207R00000X Internal Medicine (Licence: TX K5618) | |
Enumeration Date | 2005-07-18 |
Last Update Date | 2017-10-16 |