| NPI | 1699405985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2025028053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022017856) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2025-10-21 |