| NPI | 1437737905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 74809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31639) |
| 207R00000X Internal Medicine (Licence: MN 71957) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-09-10 |