| NPI | 1205416575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 98641) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 98641) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2024-07-15 |