| NPI | 1033297601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX V5074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V5074) |
| 208M00000X Hospitalist (Licence: CA A89937) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2026-09-04 |