| NPI | 1194303545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U7845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID 8281205) |
| 208M00000X Hospitalist (Licence: CA 20A22567) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2026-05-07 |