| NPI | 1790272615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-53103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND PT17482) |
| 207R00000X Internal Medicine (Licence: MN 73633) | |
| 208M00000X Hospitalist (Licence: ND 17482) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-05-25 |