| NPI | 1013414721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID M-15879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29289) |
| 207R00000X Internal Medicine (Licence: MN 65851) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-04-12 |