| NPI | 1073190898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U0388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U0388) |
| 208D00000X General Practice (Licence: TX U0388) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2026-03-04 |