| NPI | 1144708702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 60627) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287281) |
| 208M00000X Hospitalist (Licence: MA 287281) | |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2025-07-16 |