| NPI | 1861929317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 340491) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S5087) |
| 207R00000X Internal Medicine (Licence: TX S5087) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2026-08-31 |