| NPI | 1861876542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.37188) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 67339) |
| 207R00000X Internal Medicine (Licence: AZ 67339) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2022-12-08 |