| NPI | 1629566526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2025-0486) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A173530) |
| 207R00000X Internal Medicine (Licence: CA A173530) | |
| 207R00000X Internal Medicine (Licence: TX U8466) | |
| 207R00000X Internal Medicine (Licence: AZ 68911) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2025-06-24 |