| NPI | 1811424112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 65373) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112525) |
| 208M00000X Hospitalist (Licence: OH 35.139458) | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |