| NPI | 1770043804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 22369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A198394) |
| 208M00000X Hospitalist (Licence: NV 22369) | |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2025-10-07 |