| NPI | 1336708981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301509344) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-50190) |
| 208M00000X Hospitalist (Licence: IA MD-50190) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-06-27 |