| NPI | 1730747494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301508876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-49865) |
| 208M00000X Hospitalist (Licence: IA MD-49865) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-07-18 |