| NPI | 1841788114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 327639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 30170) |
| 207R00000X Internal Medicine (Licence: LA 327639) | |
| 207R00000X Internal Medicine (Licence: IL 036.173528) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2025-05-29 |