| NPI | 1083096192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0102208595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 51919) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2024-08-14 |