| NPI | 1184248189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-51283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11874) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2023-08-30 |