| NPI | 1386264125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U9589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 9999999999) |
| 208M00000X Hospitalist (Licence: TX U9589) | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2025-07-02 |