| NPI | 1881814390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N5712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N5712) |
| 207R00000X Internal Medicine (Licence: IN 01095619A) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2025-07-30 |