| NPI | 1831683820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301514719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021012134) |
| 208M00000X Hospitalist (Licence: MO 2021012134) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2025-08-05 |