| NPI | 1710332606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301109257) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35135917) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2025-09-03 |