| NPI | 1831887850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 73472) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 73472) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2026-08-20 |