| NPI | 1447743158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W2110) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101274020) |
| 207R00000X Internal Medicine (Licence: TN 65019) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX W2110) | |
| 207R00000X Internal Medicine (Licence: VA 0101274020) | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2026-01-20 |