| NPI | 1275945073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2017022830) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SD 11846) |
| 208M00000X Hospitalist (Licence: MO 2017022830) | |
| 207R00000X Internal Medicine (Licence: MI 4301105230) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2024-09-13 |