| NPI | 1023678596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 81516-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073926) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-06-26 |