| NPI | 1871081992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-01487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 238804) |
| 208M00000X Hospitalist (Licence: NC 2021-01487) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-01-12 |