| NPI | 1194158188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2023039132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.063307) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2023-11-13 |