| NPI | 1114458965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2022-02038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-02038) |
| 207R00000X Internal Medicine (Licence: SC 83742) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-04-21 |