| NPI | 1225774573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DC MD600005649) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD600005649) |
| 207R00000X Internal Medicine (Licence: DC MD600005649) | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2026-05-18 |