| NPI | 1215433826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD214785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME153572) |
| 208M00000X Hospitalist (Licence: OR MD214785) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-07-15 |