| NPI | 1598283327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS17068) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS17068) |
| 207R00000X Internal Medicine (Licence: PA OT018159) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2026-09-02 |