| NPI | 1558925263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U0873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U0873) |
| 207R00000X Internal Medicine (Licence: NY 317711) | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2026-05-12 |