| NPI | 1922238922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC TL34006) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX Q1707) |
| 207Q00000X Family Medicine (Licence: TX Q1707) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2026-04-22 |