| NPI | 1881274256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W3801) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX W3801) |
| 207R00000X Internal Medicine (Licence: GA 102114) | |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2026-05-27 |