| NPI | 1992292429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 7796) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 74741) |
| 207R00000X Internal Medicine (Licence: WI 74741-21) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-02-15 |