| NPI | 1972997898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 202301735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022027200) |
| 207R00000X Internal Medicine (Licence: MO 2019029923) | |
| 208M00000X Hospitalist (Licence: MO 2022027200) | |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2023-06-30 |