| NPI | 1215399068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 083865) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 83865) |
| 208M00000X Hospitalist (Licence: OR CP209660) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-04-10 |