| NPI | 1447871231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1023561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023027085) |
| 208M00000X Hospitalist (Licence: MO 2023027085) | |
| 208M00000X Hospitalist (Licence: MA 1023561) | |
| Enumeration Date | 2020-05-03 |
| Last Update Date | 2025-08-11 |