| NPI | 1720230071 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T5913) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 26623) | 
| 207R00000X Internal Medicine (Licence: TX T5913) | |
| 208M00000X Hospitalist (Licence: MN 107897) | |
| Enumeration Date | 2008-10-17 | 
| Last Update Date | 2025-05-09 |