| NPI | 1457932345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA p95252) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 95252) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2025-10-21 |