| NPI | 1255893897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 11885628-1205) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: HI MD-22917) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2025-06-26 |