| NPI | 1952798944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R5236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291671) |
| 207R00000X Internal Medicine (Licence: TX R5236) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2026-02-04 |