| NPI | 1275512774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L8252) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX L8252) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2025-04-09 |