| NPI | 1619931227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID 4471382) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX L4388) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2025-12-03 |