| NPI | 1598928863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q4560) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01069923A) |
| 208M00000X Hospitalist (Licence: TX Q4560) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2026-03-03 |