| NPI | 1508241431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2022-02380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018023744) |
| 208M00000X Hospitalist (Licence: MO 2018023744) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2023-07-25 |