| NPI | 1992155055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02008147A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 5101025254) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2025-01-06 |