| NPI | 1609192426 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20a12185) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q8653) | 
| 208M00000X Hospitalist (Licence: CA 20a12185) | |
| Enumeration Date | 2010-04-19 | 
| Last Update Date | 2025-05-14 |