| NPI | 1487283768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 14276093-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD19983) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2026-05-15 |