| NPI | 1598104960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 16657) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103574) |
| 208M00000X Hospitalist (Licence: NV 16657) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2023-05-17 |