| NPI | 1538695572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A167456) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 19849) |
| 207R00000X Internal Medicine (Licence: NV 19849) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-09-17 |