| NPI | 1144485822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2019020856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44093) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2024-03-08 |