| NPI | 1245509835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R5135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R5135) |
| 207R00000X Internal Medicine (Licence: NY 286206) | |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2026-09-14 |