| NPI | 1326487158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1026069) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 1026069) |
| 208M00000X Hospitalist (Licence: NM MD2015-0698) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2026-04-14 |