| NPI | 1881049500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S9837) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 58454) |
| 207R00000X Internal Medicine (Licence: TX S9837) | |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2026-03-06 |