| NPI | 1639661564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A188235) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX T3787) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-09-20 |