| NPI | 1649733346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301510203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301510203) |
| 208M00000X Hospitalist (Licence: MI 4301510203) | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-07-26 |