| NPI | 1124766951 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 011531) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 011531) | 
| Enumeration Date | 2022-05-23 | 
| Last Update Date | 2025-08-13 |