NPI | 1962455626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 4866189-1205) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 4866189-1205) |
208M00000X Hospitalist (Licence: UT 4866189-1205) | |
208M00000X Hospitalist (Licence: UT 48661891205) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2021-11-23 |