| NPI | 1003477522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019022806) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2024008147) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-03-13 |