| NPI | 1700382272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A195215) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 73222) |
| 208M00000X Hospitalist (Licence: WI 73222) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-07-12 |