| NPI | 1407202518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1013897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A168040) |
| 207R00000X Internal Medicine (Licence: OH 35.136980) | |
| 208M00000X Hospitalist (Licence: MA 1013897) | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2023-03-06 |