| NPI | 1669824074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 84542) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 72959) |
| 207R00000X Internal Medicine (Licence: WI 72959) | |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2021-11-19 |