| NPI | 1962881896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME134856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD48946) |
| 208M00000X Hospitalist (Licence: AL MD48946) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2025-08-13 |