| NPI | 1659959740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023006568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9410761) |
| 208M00000X Hospitalist (Licence: MO 2023006568) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-09-13 |