| NPI | 1154637353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2021-03349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 27509) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2023-06-14 |