| NPI | 1417451717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 88576) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2021-02243) |
| 207R00000X Internal Medicine (Licence: NC 2021-02243) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-03-16 |