| 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 |