| NPI | 1386175230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A169783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT Med-RES-LIC-58230) |
| 208M00000X Hospitalist (Licence: CA A169783) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-09-05 |