| NPI | 1124687157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-15635) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0093284) |
| 208M00000X Hospitalist (Licence: AR E-15635) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-05-06 |