| NPI | 1508246398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 56091) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 56091) |
| 207R00000X Internal Medicine (Licence: MO 2015014465) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2025-10-30 |