| NPI | 1851952816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V9008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022021267) |
| 208M00000X Hospitalist (Licence: TX V9008) | |
| 208M00000X Hospitalist (Licence: MO 2022021267) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2025-08-29 |