| NPI | 1457882615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS17695) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL DO.2313) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-06-30 |