| NPI | 1366070872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX W5233) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 325055) |
| 207R00000X Internal Medicine (Licence: TX W5233) | |
| 207R00000X Internal Medicine (Licence: NY 325055) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-07-15 |