| NPI | 1891322699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101285347) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX U4304) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-07-07 |