| NPI | 1922625466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A184903) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A184903) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-09-22 |