| NPI | 1083240998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 127687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-88125) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2023-10-23 |