| NPI | 1073197273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2024025995) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2024025995) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2024-09-19 |