| NPI | 1376978064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020023650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103815) |
| 208M00000X Hospitalist (Licence: MO 2020023650) | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2023-06-09 |