| NPI | 1235625286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 74076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071866) |
| 207R00000X Internal Medicine (Licence: IL 125071866) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-05-15 |