| NPI | 1114927928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L6265) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX L6265) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2026-05-28 |