| NPI | 1710382312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS14913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS14913) |
| 207R00000X Internal Medicine (Licence: VA 0116027672) | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2025-04-15 |