| NPI | 1114370814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 15687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL14170) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2021-11-17 |