| NPI | 1144480997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R8528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01069492D) |
| 208M00000X Hospitalist (Licence: LA 344099) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2025-04-10 |