| NPI | 1073182721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-53061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021020729) |
| 207R00000X Internal Medicine (Licence: IA MD-53061) | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-08-07 |