| NPI | 1366973703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C207349) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 287712) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2026-04-17 |