| NPI | 1649730888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A176861) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 79947) |
| 208M00000X Hospitalist (Licence: AZ 79947) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2026-05-05 |