| NPI | 1578916490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S2723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.135382) |
| 207R00000X Internal Medicine (Licence: PA MT211769) | |
| 207R00000X Internal Medicine (Licence: TX S2723) | |
| 208M00000X Hospitalist (Licence: OH 35.135382) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2026-03-05 |