| NPI | 1619384427 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q3173) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q3173) | 
| Enumeration Date | 2014-07-14 | 
| Last Update Date | 2024-07-11 |