| NPI | 1497231211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 85827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 72862) |
| 208M00000X Hospitalist (Licence: SC 85827) | |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2024-08-25 |