| NPI | 1942943998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V5781) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V5781) |
| 208M00000X Hospitalist (Licence: TX V5781) | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2025-08-14 |