| NPI | 1184156432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D95386) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD471249) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-11-09 |