| NPI | 1023246824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U7955) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 12249) |
| 207R00000X Internal Medicine (Licence: ND 12249) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2025-11-08 |