| NPI | 1831770759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 21223) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 21223) |
| 207R00000X Internal Medicine (Licence: WI 77286) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2024-08-06 |