| NPI | 1316320252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX V2669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT208116) |
| 207R00000X Internal Medicine (Licence: TX V2669) | |
| 208M00000X Hospitalist (Licence: PA MD464811) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2025-04-08 |