| NPI | 1780633453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2016-0077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200201432) |
| 207R00000X Internal Medicine (Licence: SC 27611) | |
| 208M00000X Hospitalist (Licence: SC 27611) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-01-04 |