| NPI | 1154881175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 02007470A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61302801) |
| 208M00000X Hospitalist (Licence: WA OP61302801) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-09-27 |