| NPI | 1457646333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10040002) |
| 207R00000X Internal Medicine (Licence: FL ME123025) | |
| 208M00000X Hospitalist (Licence: FL ME123025) | |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2026-05-06 |