| NPI | 1386104578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 14246735-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 00654949) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2026-05-14 |