| NPI | 1164085999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U4471) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME183118) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2026-07-17 |