| NPI | 1346999562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W0893) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL 171001) |
| 208M00000X Hospitalist (Licence: TX W0893) | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-10-10 |