| NPI | 1922459064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR 1922459064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109761) |
| 208M00000X Hospitalist (Licence: OR MD191319) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2023-06-28 |