| NPI | 1386218311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX V5324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 48399) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2026-09-30 |