| NPI | 1184118358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301511507) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D91639) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-07-01 |