| NPI | 1215166780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-01333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64694) |
| 208M00000X Hospitalist (Licence: TX W2524) | |
| 207R00000X Internal Medicine (Licence: TX W2524) | |
| 208M00000X Hospitalist (Licence: CT 64694) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2026-01-05 |