| NPI | 1699329086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL DO.2917) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL DO.2917) |
| 208M00000X Hospitalist (Licence: MO 2019022909) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2025-12-11 |