| NPI | 1780046532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S1866) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S1866) |
| 208M00000X Hospitalist (Licence: TX S1866) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2026-04-21 |