| NPI | 1275996803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A158996) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2022-01818) |
| 207R00000X Internal Medicine (Licence: NC 2022-01818) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2025-10-13 |