| NPI | 1265117329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX W5390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10084432) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2026-05-11 |