| NPI | 1003436692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 14279440-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A20905) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2026-07-21 |