| NPI | 1760903249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX V8083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-47321) |
| 208M00000X Hospitalist (Licence: IA MD-47321) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2025-07-08 |