| NPI | 1407383417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 343889) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NM A-2359-20) |
| 208M00000X Hospitalist (Licence: LA 343889) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-10-22 |