| NPI | 1740601566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 102026) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2019-00294) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2025-01-18 |