| NPI | 1407176159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T4424) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T4424) |
| 208M00000X Hospitalist (Licence: IN 01069153A) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2025-04-24 |