| NPI | 1952097388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX W1413) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208D00000X General Practice (Licence: AL MD.49919) | |
| 207R00000X Internal Medicine (Licence: TX W1413) | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2026-05-20 |