NPI | 1972892867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R7778) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS13050) |
207R00000X Internal Medicine (Licence: LA DO.000313) | |
208M00000X Hospitalist (Licence: LA DO.000313) | |
Enumeration Date | 2011-03-31 |
Last Update Date | 2018-09-10 |