| NPI | 1205271095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX S1976) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S1976) |
| 208M00000X Hospitalist (Licence: TX S1976) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2025-08-14 |