| NPI | 1013402502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S7079) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S7079) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2025-03-28 |