| NPI | 1851738611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-52522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2016-0034) |
| 208M00000X Hospitalist (Licence: MT MED-PHYS-LIC-52522) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2025-03-20 |