| NPI | 1083145304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 48247) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 12123) |
| 208M00000X Hospitalist (Licence: SD 12123) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-05-20 |