| NPI | 1760895593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 37080) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 37080) |
| 207R00000X Internal Medicine (Licence: SC LL37080) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2025-11-12 |