| NPI | 1053993121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 13896172-1205) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 13896172-1205) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-08-21 |