| NPI | 1518396399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 27572) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 27572) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2025-07-15 |