| NPI | 1487159877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-51425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 69273) |
| 207R00000X Internal Medicine (Licence: IA MD-51425) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-07-02 |