| NPI | 1871856872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.34365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 34365) |
| 207R00000X Internal Medicine (Licence: TX BP10044660) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2025-09-25 |