| NPI | 1992366801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U4005) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX U4005) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301513352) | |
| Enumeration Date | 2019-06-23 |
| Last Update Date | 2026-05-05 |