| NPI | 1891721700 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX M1944) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M1944) | 
| 207R00000X Internal Medicine (Licence: TX M1944) | |
| Enumeration Date | 2006-06-23 | 
| Last Update Date | 2025-09-16 |