| NPI | 1770100794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 186595) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A186595) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2023-08-03 |