| NPI | 1821780412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 14281730-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 14281730-1205) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2026-07-14 |