| NPI | 1023685971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U9660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10077036) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2025-06-06 |