| NPI | 1164929493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 74403-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11169) |
| 207R00000X Internal Medicine (Licence: IA MD-47448) | |
| 208M00000X Hospitalist (Licence: IA MD-47448) | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-04-22 |