| NPI | 1245747096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D97659) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D97659) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-05-08 |