| NPI | 1033746516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2023042949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 97435) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO 2023042949) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-11-12 |