| NPI | 1154340701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M1678) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX M1678) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-05-01 |