| NPI | 1407273378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 3240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 24935) |
| 208M00000X Hospitalist (Licence: TN 3240) | |
| 208M00000X Hospitalist (Licence: MS 24935) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2025-06-04 |