| NPI | 1437500618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 70285-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 70285-20) |
| 207R00000X Internal Medicine (Licence: TX BP10055737) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-02-05 |