| NPI | 1932695665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-55554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-55554) |
| 207R00000X Internal Medicine (Licence: AL 42908) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2025-09-26 |