| NPI | 1477176899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.077178) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A187387) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2025-11-25 |