| NPI | 1699045641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 2240-320) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01076716A) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2024-12-05 |