| NPI | 1730753328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301512544) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301512544) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-08-23 |