| NPI | 1528413242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 1.074419.RES) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 071140) |
| 208M00000X Hospitalist (Licence: MD D0089612) | |
| 208M00000X Hospitalist (Licence: MO 2019017095) | |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2023-06-06 |