| NPI | 1215451778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-47151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-47151) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: FL 25733) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2021-05-19 |