| NPI | 1871926444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-46179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458684) |
| 207R00000X Internal Medicine (Licence: IA MD-46179) | |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2025-09-11 |