| NPI | 1881121929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 73422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069880) |
| 207R00000X Internal Medicine (Licence: WI 73422) | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2025-05-02 |