| NPI | 1053751362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R5429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R5429) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL MD.36290) | |
| 207R00000X Internal Medicine (Licence: AL MD.36290) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2026-02-19 |