| NPI | 1679070312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 86150) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 86150) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2025-09-26 |