| NPI | 1144668070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q9361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10046882) |
| 207R00000X Internal Medicine (Licence: TX Q9361) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2026-09-08 |