| NPI | 1336536812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5145) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 295394) |
| 208M00000X Hospitalist (Licence: CA A152966) | |
| 207R00000X Internal Medicine (Licence: CA A152966) | |
| 207R00000X Internal Medicine (Licence: NY 295394) | |
| 208M00000X Hospitalist (Licence: TX R5145) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2026-03-19 |