| NPI | 1851812499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A169544) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A169544) |
| 207R00000X Internal Medicine (Licence: VA 0101268447) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2024-03-14 |