| NPI | 1700234721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 70406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109721) |
| 208M00000X Hospitalist (Licence: WI 70406) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-07-21 |