| NPI | 1932620481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-15134) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID m15134) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2025-07-10 |