| NPI | 1790270221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 87527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS020343) |
| 208M00000X Hospitalist (Licence: PA OS020343) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-08-15 |