| NPI | 1750809968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2020-0267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V9380) |
| 208M00000X Hospitalist (Licence: TX V9380) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2025-10-21 |