| NPI | 1750837910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 12124A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7862) |
| 208M00000X Hospitalist (Licence: WY 12124A) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-11-08 |