| NPI | 1952989006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 99560) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2024-01724) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-10-17 |