| NPI | 1568844017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301107855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101267068) |
| 208M00000X Hospitalist (Licence: VA 0101267068) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-04-11 |