| NPI | 1194175026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2019028086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101022691) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2019-08-12 |