| NPI | 1437680725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A157635) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A157635) |
| 207R00000X Internal Medicine (Licence: FL ME163163) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-06-02 |