| NPI | 1639598246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL DO.1573) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34.017608) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2025-08-07 |