| NPI | 1831136324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 34147) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-46694) |
| 207R00000X Internal Medicine (Licence: OR MD156813) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2025-01-27 |