| NPI | 1669031738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-53082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301505664) |
| 207R00000X Internal Medicine (Licence: IA MD-53082) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-07-03 |