| NPI | 1689105652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0014621) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD201292) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-08-19 |