| NPI | 1194133389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A161280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 50240) |
| 208M00000X Hospitalist (Licence: KY 50240) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-01-17 |