| NPI | 1205287125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 19844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 19844) |
| 208M00000X Hospitalist (Licence: NY 300316) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2021-11-12 |