| NPI | 1861130163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-175209) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-175209) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2026-02-03 |