| NPI | 1154854909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 89047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME148818) |
| 208M00000X Hospitalist (Licence: GA 89047) | |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2026-03-10 |