| NPI | 1346999166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX W5481) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX W5481) |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2026-08-08 |