| NPI | 1043669484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D90369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267900) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-08-13 |