| NPI | 1265013221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101283585) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101283585) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2025-10-30 |