| NPI | 1629728282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 14283975-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID MRO-2136) |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2026-06-02 |