| NPI | 1538664842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U7041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311372) |
| 207R00000X Internal Medicine (Licence: TX U7041) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2026-03-23 |